Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.29 / $2,877.00 / $7,183.80	Facility		$303.29	$2,877.00	$7,183.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $354.98 / $616.78	Professional		$220.19	$354.98	$616.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.27 / $343.27 / $352.05	Professional		$343.27	$343.27	$352.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.86 / $530.35 / $718.55	Facility		$451.86	$530.35	$718.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $309.24 / $597.58	Professional		$62.31	$309.24	$597.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $378.61 / $677.45	Professional		$234.38	$378.61	$677.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.62 / $2,877.00 / $7,183.80	Facility		$320.62	$2,877.00	$7,183.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $272.35 / $382.94 / $671.41	Professional		$272.35	$382.94	$671.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $232.76 / $410.04	Professional		$33.77	$232.76	$410.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,254.44 / $5,574.00 / $8,339.00	Facility		$1,254.44	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.29 / $449.91 / $627.97	Professional		$368.29	$449.91	$627.97